ABSTRACT. An association between zinc depletion and intrauterine growth retardation might occur through disturbed prostaglandin (PG) synthesis. The zinc content and PG metabolism of leucocytes from control, nonpregnant women and mothers 24-48 h after delivery, were measured and related to fetal growth and maternal smoking. Mothers of small for gestational age babies had lower polymorphonuclear and mononuclear cell zinc contents than mothers of appropriate for gestational age babies or nonpregnant controls. Monocytes were the major leucocytes producing PGs. Mothers of small for gestational age babies had higher PGE2:Fk ratios than mothers of appropriate for gestational age babies. PGFk production and PGE2:Fk ratio were correlated with tissue zinc status. Monocytes from nonsmokers tended to produce more PGs than those from smokers but the differences were not significant. Mild maternal zinc depletion is not significantly sufficient to alter absolute PC production, but is associated with altered differential production of PGs in human leucocytes. Zinc depletion or malnutrition may contribute to intrauterine growth retardation by affecting placental and/or umbilical PG production. (Pediatr Res 19: 697-700,1985) Abbreviations PC, prostaglandin SGA, small for gestational age AGA, appropriate for gestational age IUGR, intrauterine growth retardation PMN, polymorphonuclear MN, mononuclear MC, monocyte IUGR is an important cause of perinatal morbidity and mortality in developed, as well as developing, countries, and in both animals ( l,2) and man (3,4) occurs with maternal zinc depletion. Zinc is present in many metalloenzymes and is essential for DNA and RNA synthesis and, therefore, protein accumulation and growth (5). It is also important in the structure and function of biomembranes (6). An interaction between zinc and essential fatty acids has been postulated (7,8), but aberrations in the metabolism of essential fatty acids attributed to zinc deficiency may be due to the accompanying reduced food intake (9). Zinc may be necessary for at least two stages in essential fatty acid Received December 4, 1984; accepted March 5, 1985. Correspondence to Dr. Karen Simmer, Gastrointestinal Laboratory, Rayne Institute, St. Thomas' Hospital, London SE1 7EH, London.Supported by Action Research, Nest16 Nutrition Foundation, and the Special Trustees of St. Thomas' Hospital. metabolism, namely the conversion of linoleic acid to y-linolenic acid, and the mobilization of dihommogammalinolenic acid for the synthesis of 1 series PGs. Zinc may also be important in the conversion of dihommogammalinolenic acid to arachidonic acid and for mobilization of arachidonic acid for 2 series PG formation (10). One of the immediate consequences of zinc depletion may be altered PG metabolism and, as PGs are important in placental function and fetal growth (1 1), an association between zinc depletion and IUGR might occur through disturbed PG synthesis.Leucocytes are readily available and produce prostaglandins (12). Their zinc content is a goo...